INNOVATIVE REHABILITATION CONSULTANT MEDICAL PC

REGO PARK, NY
NPI1770880403
Entity TypeOrganization
Authorized ContactDMITRIY FUZAYLOV
Ownder
646-784-3984
Organization Subpart ?No
Primary Taxonomy261QP3300X Clinic/Center, Pain
(Licence: NY  241269)
Enumeration Date2011-02-15
Last Update Date2021-07-09
Business Address
INNOVATIVE REHABILITATION CONSULTANT MEDICAL PC
9701 66TH AVE
REGO PARK, NY 11374-4245
Phone number: 718-275-5200
Mailing Address
INNOVATIVE REHABILITATION CONSULTANT MEDICAL PC
21429 JAMAICA AVE
QUEENS VILLAGE, NY 11428-1733
Phone number:
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